Individual
JOEL THOMAS AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1650 BARLOW STREET, SUITE 11, TRAVERSE CITY, MI 49684
(231) 941-3100
(231) 922-0382
Mailing address
1650 BARLOW STREET, SUITE 11, TRAVERSE CITY, MI 49684
(231) 941-3100
(231) 922-0382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003330
MI
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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